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فیستول در آنو (فیستول مقعدی) یک گذر
یا تونل غیر طبیعی از مقعد رکتوم به سطح پوست اطراف مقعد است.
فیستول تونل دارای 2 دهانه داخلی (به سمت کانال مقعد) و خارجی روی پوست است.
معمولاً به دلیل عفونت و جمع شدن چرک در غدد مقعدی رخ می دهد که تخلیه شده و به فیستول تبدیل می شود.
فیستول اغلب با انبوه یا هموروئید اشتباه گرفته
می شود. همچنین ممکن است ساختار ساده یا پیچیده ای داشته باشند.
فیستول ساده چیست ؟
فیستول ساده بیشتر به دلیل انسداد غدد و در نتیجه آبسه ایجاد می شود.
دارای یک مجرا است و به راحتی قابل تشخیص و درمان
است و میزان عود کم و عوارض کمتری دارد و درمان جراحی مورد نیاز است.
فیستول پیچیده چیست ؟
این فیستولهای عودکننده با چندین راه هستند و بیشتر با برخی بیماریهای زمینهای مانند بیماری کرون، بیماری التهابی رکتوم یا تشعشع همراه
هستند.
علت فیستول مقعدی:
فیستول مقعدی عموماً به دلیل مسدود کردن غدد مقعدی ایجاد میشود، که عفونت باکتریایی را
ایجاد میکند و یک پاکت ملتهب از بافتها و مایعات عفونی را تشکیل میدهد که منجر به
آبسه مقعدی میشود که راه
خود را از طریق پوست پیدا میکند (تخلیه شده
با جراحی و پارگی خود به خود).
بهطور غیرمعمول فیستول پیچیده، میتواند در شرایط زیر نیز ایجاد میشود:
کولیت اولسراتیو و بیماری کرون
بیماری سل
بیماری های مقاربتی
ضربه
سرطان آنورکتال
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